An insight into clinicians ’ practices in breaking bad news of oral cancer diagnosis
Communication is an integral component of effective healthcare delivery to patients, and this includes breaking bad news (BBN). However, clinicians in dentistry are rarely exposed to diseases that can negatively and seriously affect an individual ’s view of their future and pose a mortality risk, except for oral cancer. The aim of this study was to assess clinician practices in BBN of oral cancer diagnosis in Malaysia. An exploratory sequential mixed-methods study design was used. A qualitative study was conducted among 12 clinicians to ga ther relevant information regarding their practices in BBN of oral cancer diagnosi...
Source: International Journal of Oral and Maxillofacial Surgery - April 17, 2024 Category: ENT & OMF Authors: S.N.F. Mohd Desa, J.G. Doss, K. Kadir, L.L. Ch ’ng, T.C. Kok, M.A. Jelon, M.R. Yahya, R. Parumo, S.M.Y. Chong, C.K. Shim Tags: Research Paper Source Type: research

Predictive risk factors of adverse mental health outcomes in the facial trauma patient
This study aimed to identify risk factors for adverse mental health outcomes in patients affected by facial trauma, using the ‘Integrating Mental and Physical Healthcare: Research, Training and Services’ (IMPARTS) screening tool. All patients>18 years of age who completed more than one IMPARTS screening tool in the Oral and Maxillofacial Trauma Clinic between 2019 and 2021 were included in this study. This tool was used to assess the risk of post-traumatic stress disorder (PTSD), generalized anxiety disorder, and depression. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - April 17, 2024 Category: ENT & OMF Authors: H. Ubhi, A. Ferro, C. Ebelthite, K. Fan Tags: Research Paper Source Type: research

Velopharyngeal dysfunction and speech-related characteristics in craniofacial microsomia: a retrospective analysis of 223 patients
This study aimed to document the prevalence, severity, and risk factors of velopharyngeal dysfunction (VPD) in craniofacial microsomia (CFM) and to analyse differences in VPD-related speech characteristics between CFM patients without cleft lip and/or palate (CL/P), CFM patients with CL/P, and CL/P patients without CFM (control). A total of 223 patients with CFM were included, of whom 59 had a CL/P. Thirty-four CFM patients had VPD, including 20 with a CL/P. VPD was significantly more prevalent in CFM with CL/P than in CFM without CL/P (odds ratio (OR) 4.1, 95% confidence interval (CI) 1.9 –8.7; P (Source: International...
Source: International Journal of Oral and Maxillofacial Surgery - April 16, 2024 Category: ENT & OMF Authors: R.W. Renkema, K.R.R. Ramdat Misier, W. Rooijers, A. Osolos, H.H.W. de Gier, H.G. Poldermans, B.L. Padwa, D.J. Dunaway, C.J.J.M. Caron, M.J. Koudstaal Tags: Clinical Paper Source Type: research

Editorial Board/Reviewing Committee
(Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - April 13, 2024 Category: ENT & OMF Source Type: research

Effects of minimally invasive surgical and miniscrew-assisted rapid palatal expansion (MISMARPE) on the nasal cavity and upper airway: a comparative cohort study
This study was  performed to evaluate the impact on the upper airway and nasal cavity of a new minimally invasive surgical and miniscrew-assisted rapid palatal expansion (MISMARPE) technique for the treatment of adult patients with transverse maxillary deficiency, in comparison to surgically assisted rapid palata l expansion (SARPE). Computed tomography scans of 21 MISMARPE and 16 SARPE patients were obtained preoperatively (T0) and at the end of the activation period (T1) and analysed. Linear and volumetric measurements were performed in the dental, alveolar, nasal cavity, and oropharynx regions. (Source: International J...
Source: International Journal of Oral and Maxillofacial Surgery - April 11, 2024 Category: ENT & OMF Authors: R.M. Bastos, O.L. Haas Junior, V. Piccoli, B.M. da Rosa, R.B. de Oliveira, L.M. de Menezes Tags: Clinical Paper Source Type: research

Skeletal changes after midface surgery in patients with craniofacial deformities: a three-dimensional quantification method
To determine the skeletal changes after midface surgery in patients with syndromic craniosynostosis who underwent Le Fort III (LFIII), monobloc (MB), or facial bipartition (FB). This was a retrospective study including 75 patients: 33 treated by LFIII, 29 by MB, and 13 by FB. Twenty-five had a diagnosis of Apert, 39 Crouzon, and 11 craniofrontonasal syndrome. A three-dimensional mesh was created from the preoperative scan and registered to the postoperative scan to visualise the advancement. LFIII at age 7 –12 years effectuated a higher mean advancement in the maxillary (15.5 mm) and zygomatic (7.6 mm) regions when com...
Source: International Journal of Oral and Maxillofacial Surgery - April 8, 2024 Category: ENT & OMF Authors: P. Rostamzad, T. Abdel-Alim, K. El Ghoul, E.B. Wolvius, M.-L.C. van Veelen, S.E. Loudon, M.M. Pleumeekers Tags: Research Paper Source Type: research

Novel patient-specific helical maxillary distractor: an in vitro feasibility study
This study was, therefore, conducted to gain an initial insight into their feasibility. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - April 3, 2024 Category: ENT & OMF Authors: J. Gateno, S. Bartlett, D. Kim, J. Xia Tags: Research Paper Source Type: research

New method for analysing spatial relationships of facial muscles on MRI: a pilot study
Dysfunction of the facial musculature can have significant physical, social, and psychological consequences. In surgeries such as cleft surgery or craniofacial bimaxillary osteotomies, the perioral facial muscles may be detached or severed, potentially altering their functional vectors and mimicry capabilities. Ensuring correct reconstruction and maintenance of anatomical sites and muscle vectors is crucial in these procedures. However, a standardized method for perioperative assessment of the facial musculature and function is currently lacking. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - April 1, 2024 Category: ENT & OMF Authors: H. Schutte, F. Bielevelt, M.S.M. Muradin, R.L.A.W. Bleys, A.J.W.P. Rosenberg Tags: Research Paper Source Type: research

Comment on “Ectopic thymic carcinoma of the parotid gland”
We read with interest the paper by Cheng et al.1 in a previous issue of the International Journal of Oral and Maxillofacial Surgery (December 2022) that presented a case report on ectopic thymic carcinoma of the parotid gland. The authors described a 52-year-old man with a parotid gland tumour designated as ectopic thymic carcinoma. Histologically, the tumour was squamous cell carcinoma with lymphocytic infiltration in the background stroma. Immunohistochemically, the tumour was positive for p40, p63, CD117, and Epstein –Barr virus (EBV) but negative for CD5. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - March 30, 2024 Category: ENT & OMF Authors: Eiichi Sasaki, Hoshino Terada, Nobuhiro Hanai Tags: Letter to the Editor Source Type: research

Bizarre parosteal osteochondromatous proliferations of the temporal region: a case report
Bizarre parosteal osteochondromatous proliferations (BPOPs) are distinct clinical –pathological entities that demonstrate combinations of atypical-appearing osseous and chondromatous tissues. These lesions are usually reactive in nature. Histopathologically, ‘bizarre’ cartilage is a characteristic feature of this lesion. BPOPs usually represent slow-growing painless bony ha rd protuberances that arise from the surface of affected bone cortices, typically the metacarpals, metatarsals, and phalanges. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - March 30, 2024 Category: ENT & OMF Authors: A.M. Rather, S. Arunkumar, M.N. Sable, A.K. Jena Tags: Case Report Source Type: research

Response to the comment on “Ectopic thymic carcinoma of the parotid gland”
We wish to respond to the authors of the Letter to the Editor regarding our recently reported case of an ectopic thymic carcinoma (ETC) of the parotid gland1. In their letter, the authors raise the possibility of additional differential diagnostic considerations for our patient ’s tumour, specifically parotid lymphoepithelial carcinoma (LEC) and metastatic nasopharyngeal lymphoepithelial carcinoma, the latter in light of the tumour’s Epstein–Barr virus (EBV) positivity and CD5 negativity. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - March 27, 2024 Category: ENT & OMF Authors: J. Cheng, S. Shao, L. Li, N. Zheng Tags: Letter to the Editor Source Type: research

Guided placement of zygomatic implants in head and neck cancer patients: implant survival and patient outcomes at 1 –3 years of follow-up
This study was performed to assess the clinical outcomes of a digitally validated guided technique for ZI placement, followed by immediate prosthetic obturation. The primary objective was to evaluate implant survival, while the secondary objective was to assess patient-reported quality of life post-rehabilitation. Twelve patients treated for head and neck cancer received a total of 36 ZI after ablative surgery. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - March 16, 2024 Category: ENT & OMF Authors: N. Vosselman, J. Kraeima, K. Ng Wei Siang, G.M. Raghoebar, M.J.H. Witjes, S.A.H.J. de Visscher Tags: Clinical Paper Source Type: research

The surgery-first approach for orthognathic correction of maxillary deficiency —is it stable? Three-dimensional assessment of CBCT scans and digital dental models
The aim of this study was to determine the skeletal stability of Le Fort I maxillary advancement following the surgery-first approach, by three-dimensional (3D) assessment of cone beam computed tomography (CBCT) scans and digital dental models. CBCT scans of 25 class III patients obtained 1 week preoperatively (T0) and 1 week (T1) and 6 months (T2) postoperatively were superimposed to measure surgical movements (T0 –T1) and skeletal relapse (T1–T2). The distorted dentition of the CBCT scans at T1 was replaced with 3D images of the dental models to assess the postoperative occlusion. (Source: International Journal of Or...
Source: International Journal of Oral and Maxillofacial Surgery - March 5, 2024 Category: ENT & OMF Authors: H. Saghafi, P. Benington, X. Ju, A. Ayoub Tags: Clinical Paper Source Type: research

Cost analysis of orthognathic surgery: outpatient care versus inpatient care
With limited healthcare resources, it is important to provide the right level and form of care. The aim of this study was to determine whether selected single-jaw orthognathic surgery in outpatient care (OPC) generates lower healthcare costs than in inpatient care (IPC). The costs of surgically assisted rapid maxillary expansion (SARME), Le Fort I osteotomy (LFI), and bilateral sagittal split osteotomy (BSSO) were calculated for 165 patients, 107 treated in OPC and 58 in IPC. Additionally, costs for revisits, emergency visits, emergency phone calls, re-operations, and plate removal during the first 12 months postoperativel...
Source: International Journal of Oral and Maxillofacial Surgery - February 29, 2024 Category: ENT & OMF Authors: C. Pekkari, B. Lund, T. Davidson, A. Naimi-Akbar, A. Marcusson, C.K. Weiner Tags: Research Paper Source Type: research

Editorial Board/Reviewing Committee
(Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - February 28, 2024 Category: ENT & OMF Source Type: research